The practice of emergency medicine today is significantly different from when ACEM was founded in 1983, and there are vital questions to be answered.
- How is the scope of the specialty and the role of emergency physicians changing?
- What are the skills and training necessary to deliver effective and compassionate emergency care in increasingly complex healthcare contexts?
- What is needed to create sustainable and satisfying careers in emergency medicine?
Watch FACEMs explain the context and intent behind the summit in the video below
The summit brought together ACEM Board members, councillors and committee chairs in person, along with hundreds of members and trainees who joined proceedings online. Short presentations about key topics representing the specialty’s ‘growing pains’ were delivered and generated rich discussion. Afterwards, a survey was circulated seeking further input and feedback on the issues raised. Information from the summit and survey was collated and examined.
Reflecting the breadth of the ACEM community, input was varied. However, some key themes emerged, including:
- Commitment to the acute, generalist, clinical core of the specialty
- Strong dedication to serving the community and meeting the needs of people who seek emergency care
- Recognition of the diverse career options available to emergency physicians, and the challenges and opportunities that supporting the breadth of practice presents for the College
- Reflection on the critical role of emergency medicine in healthcare systems, and pride that emergency physicians are increasingly assuming sector-wide leadership roles
- Identification of three areas for core focus: resuscitation, decision making and leadership
- Support for ACEM to continue to advocate for improved healthcare systems, structures and resources necessary to provide high-quality and humanistic emergency care
Watch Professor Sally Redman AO reflect on facilitating the Emergency Medicine – Building Our Future Summit
Additional resources
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Watch videos of the summit
Opening Session – Changes to emergency medicine practice and training
- Chair: Dr Clare Skinner, President
- Welcome from the CEO – Ms Emily Wooden, Chief Executive Officer
- Welcome from the President – Dr Clare Skinner, President
- Welcome from the Facilitator – Professor Sally Redman AO
- First Nations first – Cultural safety improves health outcome – Dr Glenn Harrison and Dr Max Raos, Co-Chairs, Indigenous Health Committee
- What is emergency medicine? Changes to emergency medicine policy and practice – A/Professor Didier Palmer, Chair and Dr Kimberly Humphrey, Deputy Chair, Council of Advocacy, Practice and Partnerships
- How do we train emergency physicians? Changes to emergency medicine education and training – Dr Kate Field, Censor-in-Chief
- Rural emergency medicine is core business – Dr Stephen Gourley, President-Elect
- Discussion – Changes to emergency medicine practice and training – Facilitator: Professor Sally Redman; Panel: Dr Clare Skinner, Dr Glenn Harrison, Dr Max Raos, Dr Kimberly Humphrey, Dr Kate Field, Dr Stephen Gourley
Panel Session 1 – Changing processes and models-of-care
- Chair: Dr Anoushka Perera, Deputy Censor-In-Chief
- Panellist 1: Clinical procedures and resuscitation – A/Professor Stefan Mazur, Chair, Pre-Hospital and Retrieval Medicine Curriculum Expert Reference Group
- Panellist 2: Trauma – Dr Andy Buck, Deputy Chair, Trauma Emergency Medicine Network
- Panellist 3: Ultrasound – Dr Nadi Pandithage, Chair, Emergency Department Ultrasound Committee
- Panellist 4: Observation medicine – Dr Niall Small, Chair, Rural, Regional and Remote Committee
- Panellist 5: Virtual and urgent care – Dr Justin Bowra, Chair, Emergency Telehealth Network
- Discussion – Changing processes and models-of-care – Facilitator: Professor Sally Redman; Panel: Dr Anoushka Perera, A/Professor Stefan Mazur, Dr Andy Buck, Dr Nadi Pandithage, Dr Niall Small, Dr Justin Bowra
Panel Session 2 – Changing peoples and populations
- Chair: Dr Kate Allan, Chair, Aotearoa New Zealand Faculty
- Panellist 1: Paediatric emergency medicine – Dr Graham Jay, Chair, Committee for Joint College Training in Paediatric Emergency Medicine
- Panellist 2: Geriatric emergency medicine and end-of-life care – Dr Ellen Burkett, Chair, Geriatric Emergency Medicine Network
- Panellist 3: Mental health and addiction – Dr Simon Judkins, Chair, Mental Health Working Group
- Panellist 4: Toxicology – Dr Kerry Hoggett, Chair, Education Subcommittee, Toxicology And Poisons Network Australasia (TAPNA)
- Panellist 5: Health equity for marginalised peoples – Dr Shantha Raghwan, Chair, Advancing Women in Emergency Network
- Discussion – Changing peoples and populations – Facilitator: Professor Sally Redman; Panel: Dr Kate Allan, Dr Graham Jay, Dr Ellen Burkett, Dr Simon Judkins, Dr Kerry Hoggett, Dr Shantha Raghwan
Panel Session 3 – Changing roles and contexts
- Chair: Dr Stephen Gourley, President-Elect
- Panellist 1: Population and public health – Dr Lai Heng Foong, Chair, Public Health and Disaster Committee
- Panellist 2: Global emergency care – Dr Rob Mitchell, Chair, Global Emergency Care Committee
- Panellist 3: Improving health outcomes through research and data – Professor Diana Egerton-Warburton, Acting Chair, Clinical Trials Network
- Panellist 4: Emergency physicians as medical educators and lifelong learners – Dr Shamus Shepherd, Chair, Continuing Professional Development Committee
- Panellist 5: Emergency physicians as healthcare managers and leaders – Dr André Cromhout, Deputy Chair, Aotearoa New Zealand Faculty
- Discussion – Changing peoples and populations – Facilitator: Professor Sally Redman; Panel: Dr Stephen Gourley, Dr Lai Heng Foong, Dr Rob Mitchell, Professor Diana Egerton-Warburton, Dr Shamus Shepherd, Dr André Cromhout
Closing Session – Future challenges and opportunities
- Chair: Dr Clare Skinner, President
- The College in context – Ms Emily Wooden, Chief Executive Officer, Mr Olly Jones, Deputy Chief Executive Officer, Dr Robert Lee, Executive Director, Policy, Research and Partnerships
- Trainee perspectives – looking to the future – Dr Laksmi Govindasamy, Chair, Trainee Committee, Dr Tom van Dantzig, Trainee Member, ACEM Board
- Discussion – Future challenges and opportunities – Facilitator: Professor Sally Redman; Panel: Dr Clare Skinner, Ms Emily Wooden, Mr Olly Jones, Dr Robert Lee, Dr Laksmi Govindasamy, Dr Tom van Dantzig
- Closing comments from the President – Dr Clare Skinner
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Summit photo gallery
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Read a summary of the day in YourED, the College’s digital magazine, here
You can revisit the buzz of the day via this article on the College’s YourED website.
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Read the President’s reflections on the summit in Emergency Medicine Australasia
In 2023, the Australasian College for Emergency Medicine (ACEM) turned 40. For many, midlife is an important time to reflect on the past, take stock of identity, examine values and set priorities for the next season – and ACEM is not exempt from this period of soul-searching, ACEM Past-President Clare Skinner writes in Emergency Medicine Australasia.
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View the summit handbook
Download the summit handbook here.
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Read the report of the post-summit survey
Read the Emergency Medicine - Building Our Future Report here.
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Browse readings recommended by summit panellists and participants
The following articles and resources were recommended by summit speakers, panellists and chairs.
Saving Emergency Medicine: Is Less More?
Canadian Journal of Emergency Medicine, January 2022
Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition
International Journal for Equity Health, 2019
Critical Care Delivery Solutions in the Emergency Department: Evolving Models in Caring for ICU Boarders
Annals of Emergency Medicine, December 2020
Foreword – Resuscitation
Emergency Medicine Clinics North America, 2020
Resuscitation Fellowships Can Close the Gap
Annals of Emergency Medicine, May 2021
Ultrasound Guidelines: Emergency, Point-of-care, and Clinical Ultrasound Guidelines in Medicine
American College of Emergency Physicians, April 2023
Adoption of Point-of-Care Ultrasound Is Outpacing Safeguards
ECRI Institute, September 2019
Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine?
Clinical Medicine, June 2018
Emergency Department Short Stay Units
ACEM Guideline G554, March 2019
Effectiveness and Safety of Short-stay Units in the Emergency Department: A Systematic Review
Academic Emergency Medicine, July 2015
Impact of Urgent Care Centres on EDs in Australia
ACEM Position Statement, July 2023
Disposition of patients utilising the virtual emergency department service in southeast region of Melbourne (SERVED-1)
Emergency Medicine Australasia, January 2023
Advanced Virtual Support for Operational Forces: A 3-Year Summary
Military Medicine, May/June 2022
Standards of Care for Children in Emergency Departments
International Federation for Emergency Medicine, 2019
Trends and predicted trends in presentations of older people to Australian emergency departments: effects of demand growth, population aging and climate change
Australian Health Review, July 2016
Acute Geriatrics Series
Emergency Medicine Australasia
Inpatient toxicology services improve resource utilization for intoxicated patients: a systematic review
British Journal Clinical Pharmacology, January 2019
Health care cost savings from Australian Poisons Information Centre advice for low risk exposure calls: SNAPSHOT 2
Clinical Toxicology, November 2019
Trends in self-poisoning and psychotropic drug use in people aged 5–19 years: a population-based retrospective cohort study in Australia
BMJ Open, 2019
Poison centre consultation reduces hospital length of stay
Clinical Toxicology, March 2022
Staying at home: the potential cost savings related to triage advice provided by the New Zealand National Poisons Centre
Clinical Toxicology, June 2021
Video: The Evolution of Emergency Medicine
EM Residents' Association (USA)
Five priorities for UK Governments to #ResuscitateEmergencyCare
Royal College of Emergency Medicine (UK)
EM:POWER – Taskforce on the Future of Emergency Care
Canadian Association of Emergency Physicians
Look at What They Make You Give
St Emlyn’s, August 2020
Safer coalmines, happier, healthier and more engaged canaries
Emergency Medicine Australasia, July 2020
Managing harm in the Emergency Department
St Emlyn’s, September 2022
Enigmatic Medicine: a proposed rebranding of emergency medicine
Canadian Journal of Emergency Medicine, May 2023
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Looking to the future of College
At the 2023 Annual Scientific Meeting in Canberra, delegates were asked what they would like to see from the College and the practice of emergency medicine in the coming 40 years.
Watch the video below to hear their thoughts and hopes for future of the College.
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The summit as a part of College history
A summary of the summit and its place in College history can be viewed here.
Additional resources and information on outcomes and next steps will be added as this important work progresses.